Sɔntɛnde wi kin fil lɛk se wi chɛst kin kɔnstrikt ɛn ebi we wi de kɔf, nɔto so? Dis na sɔmtin wae kin gɛt bɔrku tɛm fɔ pipul dɛm wae gɛt lכng kכndyushכn, mɔr di wan dεm wae gɛt kכndyushכn wae gɛt fɔ du wit lכng. So tide wi de tɔk bɔt wan spɛshal fisiotɛrapi tritmɛnt we de ɛp fɔ mek di tik tik mucus we dɔn stɔp na di lɔng ɛn aywe ɛn ɛp dɛn fɔ kɔf am izi wan.
Fɔ tɔk am simpul wan, wetin na Chɛst Fisiotɛrapi?
Chɛst Fisiotɛrapi (Chɛst PT) na spɛshal tritmɛnt we de ɛp fɔ mek yu chɛst lɔs di mכkus ɛn mek i izi fɔ blo. Dis kin involv fɔ gɛt trenin wɛlbɔdi wokman – bɔku tɛm na respiratory thrapist ɔ physiotherapist – fɔ klap ɔ fɔ bit yu chɛst ɛn bak wit ritm. Tink bɔt am lɛk fɔ slap yu bak tranga wan, bɔt nɔto so i de mek yu fil pen. Di shɔk we de kɔmɔt frɔm di tap de mek di mכkus we dɔn stɔp na yu lכng. Dɔn yu kin kɔf am izi wan.
Sɔntɛnde, dɛn kin tren yu fambul ɔ padi fɔ no aw fɔ du dis tritmɛnt ɛn ɛp yu na os.
Us kɔndishɔn dɛn kin yuz dis tritmɛnt fɔ?
Insay sɔm mɛrɛsin dɛn, wi lɔng dɛn kin mek wan tik, we kin stika pas aw i kin bi. I rili at fɔ kɔf dis mɔkus ɛn pul am kɔmɔt. Chɛst Fisiotɛrapi kin rili yusful pan dɛn kayn tin ya. Na sɔm pan di men tin dɛn we dɔktɔ dɛn kin tɛl dɛn fɔ du dis tritmɛnt fɔ:
- Sistik Faybrosis: Dis na jεnεtik sik we de mek di bכdi prodyuz rili tik, stika mכkus, spεshal wan na di lכng dεm εn di dijestiv sistεm.
- COPD (Chronic Obstructive Pulmonary Disease): Dis na sik we de mek pɔsin in lɔng lɔng tɛm. I kin apin mɔ pan pipul dɛn we de smok. I kin mek bak di mכkus bכku εn i kin at fכ brith.
- Bronchiectasis: Dis na di kכndyushכn we di aywe dεm na di lכng dεm kin wayd fכ כltεm εn dεn kin pwεl, we kin mek i izi fכ kכl mכkus εn mek infεkshכn.
- Nyumonia: Na infεkshכn we wan jεm de kam insay di lכng. Dis kin mek bak di mכkus de bכku.
- Nyuromɔskul Disɔda: Sik dɛn we kin mek di nerv ɛn mɔsul dɛn wik kin mek yu nɔ gɛt di trɛnk we yu nid fɔ kɔf, ɛn dis kin mek i nɔ izi fɔ klin di mכkus na di lכng.
- Atelectasis: na wan pat pan di lכng de kolכp kכmplit כ pat.
Bɔku tɛm, dɛn kin du dis Chɛst PT tritmɛnt as pat pan wan pulmonari rihabiliteshɔn plan we yu dɔktɔ dɔn rɛkɔmɛnd.
Aw dis Chɛst Fisiotɛrapi de wok?
Tu men we dɛn de fɔ dis tritmɛnt. Dɛn na pɔkyushɔn ɛn vaybreshɔn. Dɔktɔ ɔ tritmɛnt we tren kin yuz dɛn an fɔ dis, ɔ dɛn kin yuz sɔm tin dɛn we de shek di chɛst ɛn bak. dεn tu mכt dεm ya kin kכmbayn wit spεshal bכdi posishכn dεm (postural drenage) we de εp di mכkus fכ fכlכ izi wan wit graviti.
| Di we aw dɛn kin trit am | Wan simpul ɛksplen bɔt aw fɔ du am |
|---|---|
| Pɔkyushɔn we dɛn kin yuz fɔ ple | Insay dis, di pɔsin we de mɛn pipul dɛn kin kɔp dɛn an dɛn togɛda. Dɔn, dɛn kin tap yu chɛst ɔ yu bak wit dɛn an dɛn wit dɛn an, lɛk se dɛn de bit drɔm. Dɛn kin yuz bak wan smɔl tin we dɛn kin ol wit an we shep lɛk kɔp. |
| Vaybreshɔn we de mek pɔsin shek | Insay dis, di dɔktɔ kin put dɛn an dɛn flat na yu chɛst ɔ yu bak. Dɔn, dɛn kin put shɔk pan yu bɔdi tru dɛn an dɛn de. dis kin mek di aywe dεm we de insay di lכng dεm de shek, we de mek di mכkus we dεn stik pan dεm lכs. |
Aw a fɔ pripia bifo dis tritmɛnt?
Bifo yu bigin dis tritmɛnt, yu dɔktɔ ɔr pɔsin we de mɛn yu go gi yu di advays we yu nid. Bɔku tɛm, dɛn kin tɛl yu fɔ du tin dɛn lɛk:
- If yu dɔktɔ dɔn tɛl yu fɔ yuz inhala, mɔ di wan we de mek yu brɔnkodilayt, dɛn kin aks yu fɔ yuz am 15-30 minit bifo yu trit yu . Dis go ɛp yu aywe dɛn fɔ opin smɔl ɛn mek am izi fɔ mek di mכkus kɔmɔt.
- Wet fɔ at le wan ɛn af awa afta yu dɔn it bifo yu du dis tritmɛnt. If yu du dis wit ful bɛlɛ, i kin mek yu vɔmit bɔku.
Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu gɛt, fɔ ɛgzampul, prɔblɛm wit blɔd we de rɔtin ɔ we yu gɛt ay blɔd prɛshɔn, bifo yu bigin fɔ tek tritmɛnt.
Wetin kin apin we dɛn de trit am?
We yu de du tritmɛnt, de tritmɛnt wae de ɛp yu go fala dɛn step ya:
1. Gɛt kɔmfyut pozishɔn: Fɔs, fɛn pozishɔn we kɔmfyut fɔ yu ɛn ɛp yu fɔ pul di mכkus. Dis kin bi fɔ ledɔm na yu sayd, fɔ ledɔm na yu bɛlɛ, ɔ fɔ sidɔm ɔp. Yu kin yuz sɔntin bak lɛk pilo fɔ mek yu fil fayn.
2. Tap ɔ vaybrɛshɔn: Dɔn, lɛk aw wi bin dɔn tɔk, yu chɛst ɔ bak go tap (percussion) ɔ vibrate (vaybration). Dis tɛm, dɛn go tɛl yu bak aw fɔ blo ɛn kɔmɔt.
3. Fɔ pul di mכkus: fכ finish, dεn se di mכkus we dεn lכs dεn kin kכf kכmכt gud gud wan.
yu kin ripit dεn stεp dεm ya bak bay we yu shift to difrεn bכdi posishכn dεm fכ klia mכkus frכm difrεn pat dεm na yu lכng.
Wetin na di bɛnifit dɛm fɔ Chɛst Fisiotɛrapi?
If yu du dis tritmɛnt kɔrɛkt wan, yu kin gɛt bɔku bɛnifit dɛn, lɛk:
- Fɔ blo kin izi fɔ yu .
- Fɔ ridyus di nɔmba fɔ di tɛm dɛn we yu nid fɔ de na ɔspitul ɔltɛm.
- Ridyus di lɔng infɛkshɔn ɛn di exacerbations.
- Fɔ mek di kwaliti fɔ layf bɛtɛ.
- Di ebul fɔ waka, ɛksesaiz, ɛn du wok dɛn we pɔsin kin du ɛvride mɔ.
Ɛni risk de we dis kin apin?
Jɔs lɛk ɛni tritmɛnt, sɔm tin dɛn de we nɔ kin apin so ɔltɛm we kin apin pan Chɛst Fisiotɛrapi. Bɔt dɛn tin ya nɔ kin rili apin we dɛn du dɛn fayn ɛn ɔnda pɔsin we tren fɔ wok fɔ dɛn.
- Injury na di rib, spayna, ɔ mɔsul dɛm.
- I nɔ kin izi fɔ yu fɔ blo.
- Fɔ vɔmit.
- Aspirashכn fכ mכkus bak insay di aywe.
- di dכn כksijεn saplai to di bכdi tisu dεm (haypoksia).
- Lɔw blɔd prɛshɔn (haypɔtɛnshɔn).
- Blɔd we de kɔmɔt na di lɔng dɛn (pulmonary hemorrhage).
- inkrεs prεshכn insay di sכkul (inkrεs intrakranial prεshכn).
- di say we di briz kin tayt wantɛm wantɛm (bronchospasm).
- di at rεt abnכmaliti (dysrhythmia).
Di bɛst tin na dat yu kin ridyus bɔku pan dɛn prɔblɛm ya bay we yu de slip wit yu ed ɔp instead fɔ slip dɔŋ. Yu dɔktɔ ɔr tɛrapist go sho yu us pozishɔn dɛn we bɛtɛ ɛn we sef fɔ yu.
Ustɛm yu nɔ fɔ du Chɛst Fisiotɛrapi?
Pipul wae gɛt sɔm kayn mɛrɛsin kin de pan dis tritmɛnt. So, if yu gɛt wan pan dɛn sik ya, yu fɔ rili tɔk to yu dɔktɔ bifo yu du di tritmɛnt.
- Wan wund we dɛn jɔs dɔn gɛt na in chɛst, bak, ɔ in lɔng (inklud wan wund na in skin).
- If yu jɔs dɔn gɛt spɛshal anestezi ɔ epidural.
- If yu gɛt ɔstioporosis.
- If yu gɛt blɔd kɔndishɔn (fɔ ɛgzampul, if yu kɔf blɔd) ɔ yu de pan ay risk fɔ blɔd.
- Di tin dɛn we gɛt fɔ du wit blɔd prɛshɔn.
- If yu gɛt pen na yu chɛst.
| Sɔntin yu nɔ plan! If dɛn sayn ya de sho, stɔp di tritmɛnt wantɛm wantɛm ɛn go na di ETU! | |
|---|---|
| If i nɔ izi fɔ yu fɔ blo wantɛm wantɛm | If yu gɛt siriɔs pen na yu chɛst |
| If yu kɔf blɔd | If yu gɛt bad bad ed we de at |
| If yu fil se yu nɔ ebul fɔ waka ɔ yu de ed de tɔn | If yu lip, yu skin, ɔ yu nel dɛn tɔn blu (cyanosis) . |
Aw dis tritmɛnt go izi ɛn kɔmfyut?
Dis tritmɛnt nɔ fɔ mek yu fil pen, bɔt sɔntɛnde i kin mek yu nɔ fil fayn smɔl. So na fɔ mɛmba dɛn tin ya.
- Ɛksplɛs yu opinion: If yu fil lɛk se di pɔsin we de ɛp yu de tap tumɔs, ɔ nɔ de tap tranga wan fɔ lɛ di mɔs lɔs, nɔ fred fɔ tɛl dɛn.
- Di say dɛn we sef: Nɔ ɛva tap ɔ shɔk dɔŋ di rib dɛn, lɛk di bɛlɛ ɔ di ɔda pat na di bak. dis kin pwεl di כgan dεm we de insay lεk di kidni dεm.
- Mek i fil fayn: Fɛn di we we go mek yu fil fayn pas ɔl. Sɔntɛm na fɔ wɛr sɔntin we yu lɛk, tay yu ia, ɔ yuz yu yon pilo.
- Ripɔt chenj: Tɛl yu dɔktɔ ɔltɛm if ɛni chenj de na yu wɛlbɔdi bifo yu bigin tritmɛnt.
Fɔ bɔku pipul dɛm wae gɛt lɔng sik, Chɛst Fisiotɛrapi na pat pan dɛn ɛvride wɛl bɔdi, lɛk fɔ brus dɛn tit. We yu wach TV sho, rid buk, ɔ lisin to siŋ, dat kin ɛp fɔ mek di tritmɛnt izi fɔ yu. Yu sabi yu bɔdi pas ɔlman. So, if yu fil se ɛnitin de mɔna yu, nɔ shek fɔ tɛl wi.
Mɛsej we dɛn kin kɛr go na os
- Chɛst Fisiotɛrapi na fizik tɛrapi tritmɛnt we de mek tik tik mכkus we dɔn trɔp na di lכng εn mek i izi fכ brith.
- Dɛn kin yuse dis pan tin dɛm lɛk COPD, Cystic Fibrosis, ɛn Bronchiectasis.
- Dɛn kin du dis tritmɛnt na os, bɔt na if dɔktɔ ɔ pɔsin we dɔn tren fɔ mɛn yu dɔn tɛl yu ɛn di pɔsin we de ɛp yu fayn fayn wan bɔt am.
- Yu nɔ fɔ fil ɛni pen we yu de du dis tritmɛnt. If yu fil ɛnitin we nɔ fayn, duya mek wi no wantɛm wantɛm.
- If yu gɛt siriɔs pen na yu chɛst, yu de kɔf blɔd, ɔ yu gɛt siriɔs prɔblɛm fɔ blo we yu de du tritmɛnt, go to dɔktɔ wantɛm wantɛm.
- Ɔltɛm tɔk to yu dɔktɔ bifo yu bigin dis tritmɛnt ɔr if yu gɛt ɛni ɔda mɛrɛsin.
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